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What Causes Bloating And Diarrhea After Gallbladder Removal?

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Posted on Fri, 27 Jun 2014
Question: Hello. I had a gallbladder removal three months ago including an ERCP procedure to remove gallstones . Since then, I've experienced diarrhea, bloating, constipation and yellow stool. The diarrhea happens when I eat fatty food and dairy products.
I've been given pancrelipase , but unfortunately it made things worse for my situation.

When I had blood tests two weeks after the surgery, my ALT was 39 and and the AST 25. Last week new results have shown ALT 74 and AST 48. The doctor sent me to blood tests for Hepatitis A, B, C. I'm currently waiting for the results and I'm really stressed out. I don't see how what I suffer from has got to do with Hepatitis. I read that Hepatitis has different symptoms like yellowish skin and fever, symptoms I'm not having.

I don't really understand what's happening to my body. My problem falls through the cracks. Each doctor says something different, but I still feel that nobody sends me to the right tests. I finally met yesterday a gastroenterologist and he gave me Cholestyramine. I hope it will help me this round.

Do you think I should be concerned about the Hepatitis or my liver?

doctor
Answered by Dr. Ajit Naniksingh Kukreja (2 hours later)
Brief Answer:
Could be Post Cholecystectomy Syndrome

Detailed Answer:
Hi

THanks for writin in

Can clearly understand your anxiety at varied opinions from specialists

One thing which I always look for in patients whose gall bladder is removed is post cholecystectomy syndrome

It usually occurs because of the inability of the digestive system to get extra bile for digestion of fatty fried meals as there is no storage left

YOur liver functions are altered but not very significant, I woulld prefer refraining from stamping till the liver panel is available

Reassure your self
Cholestyramine will surely help you in diarrhoea
Add a PPI like Omeprazole for bloating etc

The fact that your specialist has added cholestyramine suggests he is looking for the diagnosis of Post cholecystectomy syndrome

A probiotic could be of some help, take it twice a day

Hope this helps
Do write back in case of concern
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Ajit Naniksingh Kukreja

Gastrointestinal Surgeon

Practicing since :1984

Answered : 925 Questions

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What Causes Bloating And Diarrhea After Gallbladder Removal?

Brief Answer: Could be Post Cholecystectomy Syndrome Detailed Answer: Hi THanks for writin in Can clearly understand your anxiety at varied opinions from specialists One thing which I always look for in patients whose gall bladder is removed is post cholecystectomy syndrome It usually occurs because of the inability of the digestive system to get extra bile for digestion of fatty fried meals as there is no storage left YOur liver functions are altered but not very significant, I woulld prefer refraining from stamping till the liver panel is available Reassure your self Cholestyramine will surely help you in diarrhoea Add a PPI like Omeprazole for bloating etc The fact that your specialist has added cholestyramine suggests he is looking for the diagnosis of Post cholecystectomy syndrome A probiotic could be of some help, take it twice a day Hope this helps Do write back in case of concern